Texoma Regional Eye Institute, Llc

NPI 1255655726 - Clinic/Center - 261QS0132X

NPI Details
NPI 1255655726
Enumeration Date 03/26/2010
Last Updated 03/24/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KEVIN WALLACE KEVIN
Position PHYSICIAN
Phone (580) 924-2712
Fax
Practice Location
5389 N 1ST AVE
DURANT OK, 74701-2599, US
Phone (580) 924-2712
Fax
Business Location
5389 N 1ST AVE
DURANT OK, 74701-2599, US
Phone (580) 924-2712
Fax
Toxanomy
Taxonomy Code 261QS0132X
License State
License Number
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According to our database, Texoma Regional Eye Institute, Llc NPI is 1255655726, taxonomy code is 261QS0132X Texoma Regional Eye Institute, Llc physically located at 5389 N 1st Ave, Durant OK, 74701-2599. NPI Number 1033115704 has the healthcare provider type.

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1255655726 NPI number is provided on an as is basis without warranty of any kind. 1255655726 is maintained by the National Plan & Provider Enumeration System. The contents of Texoma Regional Eye Institute, Llc are for informational purposes only.